Wowe cyangwa umuntu uzi kandi ukunda ugomba kuba warumvise ufite ubwoba n'umutwaro uremereye ku mutima wawe igihe muganga yakubwiraga iby'ubu bwoko bw'ikibagwa, sibyo? Ni ibisanzwe kugira ubwoba iyo wumvise izina rikomeye nka "Laparoscopic Abdominoperineal Resection." Ariko ntugire ubwoba. Uyu munsi, turaganira ku bwoko bw'iki gikorwa, impamvu gikorwa, n'ibiba nyuma yo kubagwa mu buryo bworoshye cyane ushobora gusobanukirwa.
Mu magambo make, ubu buryo bwo kubaga ni iki?
Ubu ni ukubaga bikorwa n'umuganga. Ahantu ho mu kibuno, mu nda, no mu gice cyo hasi cy'amara manini (sigmoid colon) birakurwaho. Ubu buryo bukorerwa mu mwenge muke mu nda yawe, aho gukoreshwa mu gukata igice kinini. Ubu buryo bwitwa laparoscopy cyangwa "kubaga mu mwobo w'urufunguzo."
Ubu buryo bwo kubaga bukunze kubazwa iyo kanseri iri mu nda y'umura cyangwa hafi y'ikibuno. Ubu buryo bwo kubaga ni ngombwa cyane cyane iyo kanseri iri hafi cyane y'imitsi ya sphincter igenzura inzira y'umwanda, kuko ubu buryo bwo kubaga ari ngombwa kugira ngo haveho burundu uturemangingo twa kanseri hamwe n'iyo mitsi.
Igikuru ni ugukuraho burundu kanseri mu mubiri. Ubu buryo bwo kubaga bukora ibyo.
Muri ubu buvuzi, hakorwa umwenge mushya wo gusohora imyanda (amabyi) mu mubiri wawe. Ibi byitwa stoma . Iyi stoma iba ku ruhu rw'inda yawe. Ni muri ubwo buryo amara manini ahuzwa. Abaganga kandi bita ubu buryo "colostomy".
Stoma ni iki? Ese nayitinya?
Oya rwose. Stoma ni igice cy'ingenzi mu kubagwa kwawe kurokora ubuzima. Tekereza muri ubu buryo, kimwe n'inyo yacu, ubu ni uburyo bushya bwo gusohora imyanda.
Ariko hari itandukaniro rimwe. Stoma ntabwo ifite imitsi ya sphincter igenzura inzira y'umwanda, nk'iyo mu kibuno cyacu. Kubwibyo, ntidushobora kugenzura inzira umwanda unyuramo igihe cyose tubishakiye. Kubera iyo mpamvu, tugomba kwambara agakapu kadasanzwe (agafuka) kugira ngo dukuremo imyanda isohoka.
Bishobora kumera nk'ibidasanzwe kumenyera ibi mu ntangiriro. Ariko uko igihe kigenda gihita, bizahinduka nk'ibisanzwe mu buzima bwawe. Kugira ngo bigufashe muri ibyo, hari abaforomo bahawe amahugurwa yihariye muri ibi. Bazakwigisha byose.
Uburyo kubagwa bikorwa intambwe ku yindi
Ni ibisanzwe kugira ubwoba iyo utekereza ku kubagwa gukomeye nk'uku. Ariko numara gusobanukirwa uko bikorwa, ubwoba bwawe buzagabanuka cyane.
| Icyiciro cyo Kubaga | Ibiba |
|---|---|
| 1. Anesthesia | Ubwa mbere, uzaterwa ikinya burundu. Ibi bivuze ko nta kintu na kimwe uzumva kugeza igihe kubagwa birangiye, kandi uzaba usinziriye burundu. |
| 2. Gutangira laparoscopy | Mu gihe usinziriye, umuganga ubaga akuramo akantu gato (hafi santimetero 1.5) hafi y'ikibuno cyawe maze agashyiramo igikoresho gito gisa na kamera (laparoscope). Iyi kamera igufasha kubona imbere mu nda yawe. Hanyuma, hakorwa utwobo duto tugera kuri 4 cyangwa 5 mu nda yawe kugira ngo ushyiremo ibikoresho bikenewe mu kubaga. |
| 3. Kwitegura gukuramo amara | Imitsi y'amaraso ikomeye itanga amaraso ku gice cy'amara kigomba gukurwaho iracibwa ikanafungwa. Hanyuma, igice cy'amara kigomba gukurwaho (sigmoid colon) gikurwa mu ngingo zikikije hanyuma kigatandukanywa n'amara manini asigaye. Agace k'amaraso na ko gakurwa mu ngingo zikikije muri ubwo buryo. |
| 4. Gukuraho ikibuno | Nyuma yuko ibice by'amara birekuwe, undi mukinnyi wo mu itsinda rishinzwe kubaga azakora igikorwa cyo kubaga mu gace kari hagati y'amaguru yawe (agace ka perineum) maze akureho burundu agace k'inkari, akazu k'inyuma n'agace k'amara kagize ikibazo. |
| 5. Guhanga Stoma | Nyuma yo gukuraho ingirangingo za kanseri, umuganga ubaga stoma anyuze mu mwobo muto wari wakozwe mbere. Ubusanzwe ibi bikorwa ku ruhande rw'ibumoso rw'inda. Igice gisigaye cy'amara gisohoka ginyuze mu mwobo, kigahuzwa n'uruhu, hanyuma kigafungwa. |
| 6. Kurangiza kubagwa | Amaherezo, umwobo wo mu nda (imbere mu nda) wogejwe neza, hanyuma hagashyirwaho umuyoboro muto wo gusohora amazi yose adakenewe ashobora kuba yarundanye imbere. Ibi bifasha igisebe gukira vuba. Hanyuma, izindi mvune zo mu nda ziradodwa. |
Ni iki wakwitega mu gihe cyo gukira?
Nyuma yo kubagwa, uzakenera kumara iminsi mike mu bitaro, akenshi hafi icyumweru. Muri iki gihe, abaganga n'abaforomo bazakwitaho neza.
Ni iki kiba mu bitaro?
Iyo ukangutse nyuma yo kubagwa, uzashyirwa ku gafuka kawe kugira ngo gakusanye imyanda. Bizatwara iminsi mike kugira ngo igogora ryawe, cyangwa amara, yongere gukora. Iyo birangiye, uzahabwa amazi yo kunywa mbere na mbere . Uko ugenda ukira buhoro buhoro, ushobora gukomeza kurya ibiryo bikomeye bisanzwe .
Kwiga kwita ku igogora ryawe
Iki ni cyo gice cy'ingenzi cyane. Mu gihe uri mu bitaro, umuforomo wize by'umwihariko mu kwita ku ndwara zo mu nda (Enterostomal Therapist cyangwa ET nurse) azagufasha.
- Bazakwereka uburyo bwo guhindura isakoshi yawe yo mu gikapu.
- Ikwigisha uburyo bwo kubungabunga uruhu rukikije stoma rusukuye kandi rufite ubuzima bwiza.
- Nutaha, uzitoza gukora ibi bintu wenyine.
Kubana na colostomy ihoraho ni impinduka ikomeye. Ihe umwanya wo kumenyera. Ntugahangayike na gato. Umuforomo wawe wa ET ni we muntu mwiza wo kubaza ibibazo byose ushobora kuba ufite no kugufasha.
Niba ufite ikibazo cyangwa impungenge igihe icyo ari cyo cyose, ntutinye kuvugana na muganga wawe cyangwa umuforomo wa ET . Barahari kugira ngo bagufashe.
Ubutumwa bwo kujyana mu rugo
- Ubu buryo bwo kubaga (Laparoscopic Abdominoperineal Resection) ni uburyo bukomeye bwo kubaga bushobora kurokora ubuzima bwa kanseri y'urura rugufi.
- Kubera ko ibi bikorwa hakoreshejwe uburyo bwa "keyhole" (Laparoscopy), nta gucikamo ibice binini bibaho, bityo igihe cyo gukira kiba cyihuse.
- Nyuma yo kubagwa, uzakenera gukoresha umwenge uhoraho mu nda yawe (stoma) kugira ngo imyanda isohoke hamwe n'agafuka (isakoshi) ko gukusanya imyanda.
- Nubwo kwiga gucunga stoma bishobora kugorana mu ntangiriro, bishobora kugorana kubikora ukoresheje abakozi b’abaforomo bahuguwe byihariye.
- Iri ni impinduka ikomeye, haba ku mubiri no mu mutwe. Bityo rero, vugana ukuri n'abaganga, abaforomo n'umuryango wawe bari aho kugira ngo bagufashe. Ntabwo uri wenyine.
💬 Comments (0)
Kwipimisha kanseri y'ibere, kwisuzuma no kwirinda byakozwe byoroshye. Kanseri y'ibihaha
Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.